Use of the forced air warmer, Bair Paws and Bair Hugger in the perioperative setting. What are the risks and who should and should not use it?

1. Your Nomination - Please briefly describe in your own words the question about a health care test or treatment that interests or concerns you:: Use of the forced air warmer, Bair Paws and Bair Hugger in the perioperative setting. What are the risks and who should and should not use it?

2. Why do you think your question is important? (you may select more than one category if appropriate): My question relates to a very common disease or problem
People with this disease or problem have considerable health or financial hardships
There is uncertainty about how well the test, treatment, or intervention works
There is significant potential for side effects/harms using this test, treatment, or intervention
Funding of this test, treatment, or intervention is uncertain or variable
There is unequal access or application of this health care intervention across providers
There is potential for cost savings from better information on this subject
This is a new technology/development
There is new evidence of clinical and/or cost effectiveness for this test, treatment, or intervention
Other

3. What illness or health condition is related to your question? (You can also specify a particular health-promoting activity, such as breast-feeding): Hypothermia in the perioperative setting causing infection and bleeding. Is there potential for injury with the use of the forced air warmer in hypermetabolic patients and other populations?

4. What group(s) or patients does your question apply to?: Perioperative patients. Those for possible risk: Multiple sclerosis patients, peripheral vascular disease, anesthetized patients, use of transderm patch, etc.

5. What is the specific purpose of the health care test or treatment you have a question about? (mark all that you think apply): Identification of a disease or condition:
Screening or diagnosis/identification for a particular disease, or risk assessment for a disease
Risks or harms that can come from a disease identification tool or test
Diagnostic tests and tools
Diagnosis of co-occurring diseases
Intervention (such as a drug treatment, therapy, device)
Management of a condition or particular system of care
Delivery of a health service
Referral
Risks or harms associated with treatment of a disease or condition
Prevention or health promotion
Specific population health concerns, such as ethnic group or gender
Other
Dont know

6. Does your question include a comparison of different health care approaches?: No
If yes, please list what you would like to see compared:

7. Desired Health Improvements: If you question focuses on:: Identification of a particular disease or condition, what improvements in identification or diagnosis would you like to see?
I would like to see: 1. Difference between the Bair Hugger and Bair Paws, 2. Risks of using Bair Hugger, Paws, 3. Guidelines for safe use of forced air warmer

Treatment of a particular disease or condition, what improvements in patient symptoms or problems would you like to see?

8. Harms: Are there risks, side effects, or harms you are concerned about? If yes, please specify what those are:: What are the risks versus benefits of using the forced air warmer in the perioperative patient.

9. Based on your answers to the previous questions, what research question(s) would you like to have answered?

10. Are there health-care focused, disease-focused, or patient-focused organizations that you see as being relevant to this issue? Who do you think we should contact as we consider your nomination?: Perioperative Anesthesia

11. Other Information About You (OPTIONAL) In order to help us understand the context of your health care question, it would be helpful to know more about you. The answers you give will not influence the progress of your suggestion. Thank you.: a. Please choose a description that best describes your role or perspective: (you may select more than one category if appropriate)
Nurse

b. Is there any other information about you that is relevant to your question?
I work in the PACU.

c. Are you making a suggestion as an individual or on behalf of an organization?
Individual
Organization

Effective Health Care Program